MEDICARE: NORTHWEST OPTOMETRIC ASSOCIATES, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046008854	IL

General Provider Information

NPI Number	:	1609908920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST OPTOMETRIC ASSOCIATES, LTD

Provider Business Mailing Address
First Line	:	4970 N HARLEM AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-3552
Country	:	US
Telephone Number	:	708-867-7838
Fax Number	:	708-867-5869

Provider Business Practice Location Address
First Line	:	4970 N HARLEM AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-3552
Country	:	US
Telephone Number	:	708-867-7838
Fax Number	:	708-867-5869

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DENICE ANN RICE-KELLY
Credential	:	O.D.
Telephone Number	:	708-867-7838

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	01/04/2008

Similar Medicare Providers

1578761979 — DENICE ANN RICE-KELLY O.D.
Practice Location Address:

4970 N HARLEM AVE
HARWOOD HEIGHTS, IL
60706-3552

Practice Phone: 708-867-7838
Practice Fax: 708-867-5869

1174524862 — KIMBERLY M ROSS OTR L,CHT
Practice Location Address:

6340 S 3000 E STE 200
COTTONWOOD HEIGHTS, UT
84121-3552

Practice Phone: 801-743-4500
Practice Fax: 435-655-2388

1871570408 — DR. NORMAN ANDREW CLEMENS M.D.
Practice Location Address:

2258 LAMBERTON RD
CLEVELAND HEIGHTS, OH
44118-3552

Practice Phone: 216-371-4373
Practice Fax: 216-371-4839

1568830370 — JULIE BROUGH AT
Practice Location Address:

3552 NORTHCLIFFE RD
CLEVELAND HEIGHTS, OH
44118-3667

Practice Phone: 307-760-7926
Practice Fax:

1053332254 — NORWOOD PARK FIRE PROTECTION DISTRICT
Practice Location Address:

7447 W LAWRENCE AVE
HARWOOD HEIGHTS, IL
60706-3411

Practice Phone: 708-867-5428
Practice Fax: 708-867-0955

1144336173 — ALFRED CISNEROS M.D.
Practice Location Address:

4777 N HARLEM AVE
HARWOOD HEIGHTS, IL
60706-4658

Practice Phone: 708-867-4020
Practice Fax: 708-867-5306

Directions to “NORTHWEST OPTOMETRIC ASSOCIATES, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.